Yasser Al Khatib

MD | Pediatric Cardiology | Male

---

Complete Profile:

Yasser Al Khatib basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Yasser Al Khatib
Credential :	MD
Gender :	Male

Business Address:

Yasser Al Khatib address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	25 Michigan St Ne Ste 4200 Grand Rapids, MI, 49503-2559 United States
Phone Number :	616-267-9150

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1053311779
NPI Entity Type :	Individual
First Enrolment Date :	22 Jul, 2005
Last Updated On :	14 Apr, 2021

Medicare Participation:

Yasser Al Khatib participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3971580705
Medicare Enrollment ID :	I20150129002304
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1982
Accepts Medicare?	Yes. Yasser Al Khatib accepts medicare insurance.

Group Practice Association:

Yasser Al Khatib is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Yasser Al Khatib is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Hospitals	8921904764	121	100 Michigan Ave Ne Grand Rapids, MI - 495032560 Ph: 6163911774	Yes
Spectrum Health Hospitals	8921904764	121	100 Michigan St Northeast Grand Rapids, MI - 495032560 Ph: 6163911774	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Yasser Al Khatib are as mentioned. Primary taxonomy code for Yasser Al Khatib, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
207RA0002X	Internal Medicine Adult Congenital Heart Disease	No	4301084773	MI
207RI0011X	Internal Medicine Interventional Cardiology	No	4301084773	MI
2080P0202X	Pediatrics Pediatric Cardiology	Yes	4301084773	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne, Mc 845 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to Yasser Al Khatib practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.